Nowak, Catherine M

Nowak, Catherine M is an individual health care provider with primary practice located at 55 Fruit St , Boston MA 02114-2696. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.). Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.) is her primary health care specialty. Nowak, Catherine M can be contacted via phone (617) 726-1742.

Contact Information

Primary practice address
55 Fruit St Boston MA 02114-2696
Phone: (617) 726-1742
Fax: (617) 726-1566
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 76523 Massachusetts
Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.) 207SG0201X 76523 Massachusetts

Profile Details

NPI number 1053393470
LBN Legal business name Nowak, Catherine M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 20th, 2005
Last updated Oct 12th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1053393470 NPPES
Massachusetts MEDICAID 3126668

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